Individual
MR. ROBERT D QUAKENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4049 DAYTON XENIA RD, BEAVERCREEK, OH 45432-1992
(937) 429-8500
(937) 429-8500
Mailing address
4049 DAYTON XENIA RD, BEAVERCREEK, OH 45432-1992
(937) 429-8500
(937) 429-8500
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000258
ANTHEM
OH
05
—
0861787
—
OH
Enumeration date
03/03/2008
Last updated
03/18/2008
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